Hudefi, Fayz A

Hudefi, Fayz A is an individual health care provider with primary practice located at 1001 Towson Ave Fl 6 , Fort Smith AR 72901-4921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hudefi, Fayz A can be contacted via phone (479) 441-5601.

Contact Information

Primary practice address
1001 Towson Ave Fl 6 Fort Smith AR 72901-4921
Phone: (479) 441-5601
Fax: (479) 709-7423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E4773 Arkansas
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X E-4773 Arkansas

Profile Details

NPI number 1992740393
LBN Legal business name Hudefi, Fayz A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992740393 NPPES
Arkansas Other 06070018900 QUALCHOICE
Arkansas Other 5N608 QUALCHOICE
Arkansas MEDICAID 162087001 QUALCHOICE
Arkansas MEDICAID 200088300A QUALCHOICE
Arkansas Other 000181515 QUALCHOICE

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